David Whitehurst, OTR/L
Individual provider Active NPI Occupational Therapist · Penn Laird, VA
NPI 1104579648 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1104579648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119004424 (VA)
- Practice address
- 235 Rachel Dr
Penn Laird, VA 22846-2030 - Phone
- (540) 209-0011
- NPI assigned
- Feb 3, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119004424 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119004424 | VA | Yes |
Addresses
Primary practice location
235 Rachel Dr
Penn Laird, VA 22846-2030
Mailing address
235 Rachel Dr
Penn Laird, VA 22846-2030
Phone (540) 209-0011
Other providers in Penn Laird, VA
- Ashley McLellan
- Meadowcrest Audiology
- Breanne Metz
- Jennifer Ann Parker
- Briana Reichgott Priester
- Jeanine M Wilson
All providers in Penn Laird, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.